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Please select the suppliers you wish to add to bill through your Red Tray account from the
list below. Upon your initial order, remember to identify yourself as a Red Tray member to
ensure your new accounts have been set up to bill through Red Tray. Please Note: Some
suppliers may request additional credit information and/or give you special instructions for
establishing a new account.

If you already have existing accounts with the suppliers you selected, please enter your
current account numbers in the corresponding Current Account Number field.

I, the undersigned, do hereby authorize Red Tray to set up/transfer my accounts for the
selected suppliers, effective immediately:

Signature of Personal Guarantor

  current account# supplier   current account# supplier   current account# supplier
A & A Optical
Carrollton, TX
Eastern States Eyewear
Elmont, NY
Nova Optical (Nassau)
Orangeburg, NY
Accessories by Ron's Optical
Livermore, CA
Edison Optics
Farmers Branch, TX
Occhiali Eyewear Corp
Doral, FL
Accu RX,Inc
Johnston, RI
Elite Optical - Sacramento
Sacramento, CA
Richmond, TX
Akorn Ophthalmics
Lake Forest, IL
Elite Optical - Visalia
Visalia, CA
Omega Dallas
Dallas, TX
Alray Optical
Rockland, MA
Essilor of America
Dallas, TX
Omni Optical
Beaumont, TX
Altair Eyewear
Rancho Cordova, CA
Essilor GP Lenses
Dallas, TX
Opsales Inc
Island Park, NY
Alternative Eyewear
Buffalo, NY
Essilor Labs-All Locations
Dallas, TX
Portland, OR
Arch Crown
Hillside, NJ
Essilor New Jersey
Warren, NJ
Optic Blue
Lubbock, TX
Art Optical Contact Lens
Grand Rapids, MI
Eyes of Faith Optical LP
Sharon, PA
Optical Suppliers Inc
Alea, HI
Aspex Eyewear
Pembroke Park, FL
Eyewear Designs Ltd
BethPage, NY
Optisource Int/Nu-Chem
Bellport, NY
Avalon Eyewear Inc
Northvale, NJ
Fatheadz Inc
Indianapolis, IN
Minneapolis, MN
ABB Optical Group
Coral Springs, FL
Future Optics Inc - FL
Clearwater, FL
OOGP Contacts
Grants Pass, OR
Fort Worth, TX
Future Optics Inc - TN
Jackson, TN
OVVO Optics
Mahwah, NJ
Bell Optical - Columbus
Columbus, OH
FGX International
Smithfield, RI
Olathe, KS
Bell Optical - Kenova
Kenova, WV
Hi-Tech Optics
Lincoln, NE
Pech Optical
Sioux City, IA
Bell Optical - Twinsburg
Twinsburg, OH
Homer Optical Company
Silver Spring, MD
Pentax Vision/Seiko Lens
Mahwah, NJ
Bell-Duffens Optical-Indianapl
Indianapolis, IN
I Optics Inc
Freeport, NY
Precision Optical Group
Creston, IA
Brillen Eyes
Lake Forest, CA
I-Deal Optics
Troy, MI
Precision Optics - ST CLOUD
St Cloud, MN
Cal Optix
San Ramon, CA
Interstate - Rege
Mansfield, OH
Prestige Optics/Hilco
San Francisco, CA
Brooklyn, NY
Interstate Optical-Indianapols
Indianapolis, IN
Q-Vision Optics Inc
Arlington Heights, IL
Carl Zeiss Vision - B&W
Baltimore, MD
Interstate Optical-Mansfield
Mansfield, OH
Randolph Engineering Inc
Randolph, MA
Carl Zeiss Vision - California
Montclair, CA
Pembroke Park, FL
Robertson Optical - ColumbiaSC
Columbia, SC
Carl Zeiss Vision - Cumberland
Nashville, TN
Jungle Eyewear
Kenmore, NY
Robertson Optical-LoganvilleGA
Loganville, GA
Carl Zeiss Vision - Iowa
Iowa City, IA
Kenmark Group
Louisville, KY
Safilo Group
Parsippany, NJ
Carl Zeiss Vision - KY
Hebron, KY
Kering Eyewear USA Inc
Bridgewater, NJ
Sight Systems of the Carolinas
Concord, NC
Carl Zeiss Vision - Siouxland
Sheldon, IA
Kio Yamato Optics
Englewood, NJ
Signature Eyewear
Inglewood, CA
Carl Zeiss Vision - Texas
Lewisville, TX
Kosh Ophthalmic
Pompano Beach, FL
Green Island, NY
Carl Zeiss Vision - Virginia
Chester, VA
L'Amy Group
Wilton, CT
Smilen Eyewear
Cedarhurst, NY
Carl Zeiss Vision- Northeast
Newton Upper Falls, MA
New York, NY
Southern Optical - AugustaGA
Augusta, GA
Carl Zeiss Vision- Northwest
Clackamas, OR
Legre Eyewear
Edison, NJ
Southern Optical - Bristol
Bristol, TN
Carl Zeiss Vision-All Loc-GA
Forest Park, GA
Liberty Sport
Fairfield, NJ
Southern Optical - Richmond
Richmond, VA
Carl Zeiss Vision-Great Lakes
Troy, MI
Luxottica Group
Port Washington, NY
Southern Optical -Norcross ATL
Norcross, GA
Carl Zeiss Vision-Kansas City
Independence, MO
Luzerne Optical
Wilkes-Barre, PA
Southern Optical-Birmingham
Birmingham, AL
Carl Zeiss Vision-North Centrl
Saint Cloud, MN
Mad Vision LLC
Sunrise, FL
Southern Optical-Chattanooga
Chattanooga, TN
Carl Zeiss Vision-Southeastern
Roanoke, VA
Marchon Eyewear
Melville, NY
Southern Optical-GoldsboroNC
Goldsboro, NC
Carl Zeiss Vision-Southwest
Tempe, AZ
Marcolin USA/Viva
Somerville, NJ
Southern Optical-GreensboroNC
Greensboro, NC
Central 1 Optical
Youngstown, OH
Match Eyewear
Westbury, NY
Southern Optical-GreenvilleSC
Greenville, SC
Charmant Group
Morris Plains, NJ
Match Eyewear-Canada
Westbury, NY
Southern Optical-NashvilleTN
Nashville, TN
Cherry Optical
Melvindale, MI
McGee Group
Marietta, GA
Southern Optical-Wilmington
Wilmington, NC
Clariti Eyewear
City of Industry, CA
McLeod Optical
Rutland, VT
Sutherlin Optical
Kansas City, MO
Classique Eyewear
San Diego, CA
Brooklyn, NY
Teka Eyewear
Lakewood, NJ
Hauppauge, NY
Meridian Optical- Phoenix
Phoenix, AZ
The Lens Connection
Farmingdale, NY
Continental Optical Imports
Chicago, IL
Meridian Optical- San Diego
San Diego, CA
Top Network - Ohio
Columbus, OH
Victor, NY
Midland Optical
St Louis, MO
Tri-Supreme Optical
Farmingdale, NY
Costa Del Mar
Daytona Beach, FL
Milroy Optical
Tampa, FL
Tru-Form/Corneal Design
Gaithersburg, MD
Crown Optical
Greenville, RI
Modern Optical
Roselle, IL
Tura Eyewear
Great Neck, NY
Custom Eyes
Rock Island, IL
Modisch Eyewear
Rockland, MA
Twin City Optical - Staples
Staples, MN
CSC Labs
Watsonville, CA
Modo Eyewear
New York, NY
Twin City Optical-Casper WY
Casper, WY
Dash Lab - Lubbock
Lubbock, TX
Mondottica USA LLC
Warren, NJ
Twin City Optical-Cedar Rapids
Cedar Rapids, IA
Design Eyewear Group
San Francisco, CA
Morel USA
Wyckoff, NJ
Twin City Optical-LouisvilleKY
Louisville, KY
Design Gallery
Westbury, NY
Nassau Lens Co.
Dallas, TX
Twin City Optical-Minneapolis
Minneapolis, MN
Dolabany Eyewear/Best Image
Miami, FL
Nassau Lens Florida
Miami, FL
Twin City Optical-Sioux Falls
Sioux Falls, SD
Duffens Optical
Houston, TX
Nassau Lens Mid-Atlantic
Greensboro, NC
Twin City Optical-Traverse Cty
Traverse City, MI
Duffens Optical - Denver
Denver, CO
Nassau Lens Mid-West
Streamwood, IL
US Ophthalmic
Miami, FL
Duffens Optical - Lenexa KS
Lenexa, KS
Nassau Lens Southeast
Norcross, GA
Villa Eyewear
Glen Cove, NY
Duffens Optical - Topeka KS
Topeka, KS
Nassau Lens Southwest
Garland, TX
VSPONE-Tampa Bay
Clearwater, FL
Duffens Optical - Tulsa/closed
Tulsa, OK
Nassau Lens West
Van Nuys, CA
WestGroupe USA
Plattsburgh, NY
Duffens Optical - Wichita
Wichita, KS
New City Optical
Baltimore, MD
Wiley X Eyewear
Livermore, CA
Dynamic Laboratories
Ronkonkoma, NY
New Millennium Eyewear
Freeport, NY
Pennsauken, NJ
DBL Labs
St Cloud, MN
New York Eye/Hart Specialties
Amityville, NY
WOS Optical
Green Bay, WI
Sun Valley, CA
Nouveau Eyewear
Carrollton, TX
Port Chester, NY
East Coast Ophthalmic
Jacksonville, FL